Neurosurgery, Beykoz State Hospital, Turkey
*Corresponding Author: Ozdemir Ugur, Neurosurgery, Beykoz State Hospital, Turkey.
Received: December 30, 2019; Published: January 10, 2020
The aim of presenting this phenomenon was to emphasize that changes in the consciousness table in a patient with traumatic borderline subdural hematoma may depend not only on hematoma but also on hyponatremia. Our case was a 60 year old, confused patient with borderline subdural hematoma on CT examination. The patient had deep hyponatremia at the same time. While the patient was followed up with clinical, radiological and laboratory findings, it was seen that the hematoma continued at the same size, but the consciousness was totally opened by the treatment of hyponatremia and even the patient could be mobilized. In conclusion, a patient who has undergone trauma and has surgically borderline subdural hematoma should not be rushed for surgery. In such patients, urgent electrolyte evaluations especially for hyponatremia should be done first, and this should be corrected.
Keywords: Traumatic Brain İnjury; Borderline Subdural Hematoma; Hyponatremia; İnappropriate Antidiuretic Hormone Secretion Syndrome
Citation: Ozdemir Ugur. “N The Significance of Hyponatremia Assessment Before Surgical Intervention on the Confusion Table in the Borderline Subdural Hematoma".Acta Scientific Neurology 3.2 (2020): 01-02.
Copyright: © 2020 Ozdemir Ugur. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.